Failure to Complete Weekly Skin Inspections as Care Planned
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to complete weekly skin inspections for a resident as required by the resident's comprehensive care plan. Medical record review showed that the resident, who had a history of fall with nasal fracture, influenza A, cerebrovascular accident, and traumatic brain injury, was admitted and received a skin inspection upon admission and again on 01/15/25. However, no further weekly skin inspections were documented prior to the resident's discharge on 02/01/25. The care plan specifically included an intervention for weekly skin inspections, but these were not performed on 01/22/25 and 01/29/25. The DON confirmed during interview that the required weekly inspections were missed.